PRENATAL-DIAGNOSIS IN GERMANY

Prenatal diagnosis (PND) in Germany is well established. A wide spectr um of sonographic, cytogenetic, molecular and biochemical investigatio ns can be chosen by pregnant women. While sonographic examinations are offered to all pregnant women, the methods requiring invasive procedu res are performed predominantly when there is a higher risk than in th e general population. However, PND is also performed on request by the mother in the absence of an increased risk. Pretest genetic counselli ng is recommended before invasive techniques. PND is performed in publ ic as well as in private settings. Guidelines are in effect for specia lisation of gynaecologists and human geneticists. Quality assessment f or cytogenetic and molecular laboratories is performed on a voluntary basis. Since October 1995, termination of pregnancies is regulated by a new law.